Organization Active NPI

Luczynski Dental Corporation

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1386043586
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59349 Issued in CA
Legal business name
LUCZYNSKI DENTAL CORPORATION
Practice address
3531 Sterne St
San Diego, CA 92106-1845
Phone
(619) 794-4965
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Luczynski, DDS
Title
Owner/Ceo
Phone
(619) 794-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 59349 CA Primary

Addresses

Primary practice location

3531 Sterne St
San Diego, CA 92106-1845

Mailing address

3531 Sterne St
San Diego, CA 92106-1845

Other names 1

  • Uptown Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1386043586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 STERNE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 STERNE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061845",
            "telephone_number": "619-794-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCZYNSKI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "LUCZYNSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "619-794-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.